This systematic review and meta-analysis compared the use of sterile and nonsterile gloves for wound and laceration repair. The analysis found no significant difference in the rates of infection or wound healing between the two types of gloves. These results suggest that nonsterile gloves are equally effective in preventing complications during wound and laceration repair, […]
Category: General Surgery
Supraclavicular Lymph Node Metastases in Esophageal Squamous Cell Carcinoma: Limited Impact on OS After Three-Field Dissection
The study aimed to determine the impact of clinically suspicious and pathologically confirmed supraclavicular lymph node (SCN) metastasis on survival outcomes in esophageal squamous cell carcinoma (ESCC) patients who underwent esophagectomy with three-field lymph node dissection. Analysis of 611 patients revealed that the presence of SCN metastasis did not significantly affect overall survival, regardless of […]
Sacral Neuromodulation Shows Promise in Relieving Symptoms of Low Anterior Resection Syndrome
Sacral neuromodulation may be effective in relieving symptoms of low anterior resection syndrome after rectal cancer surgery, according to the SANLARS randomized clinical trial. The trial involved 46 patients, of whom 78% experienced a ≥50% reduction in symptoms after testing. During the crossover phase, all patients showed a reduction in symptoms, with better results when […]
Psychological Safety and Leadership in Operating Room Debriefing: Insights from Frontline Workers
The study conducted interviews with 40 operating room staff in a tertiary children’s hospital to explore effective debriefing policies. The findings revealed three key themes: commitment to learning, the importance of creating a safe space for debriefing, and the valuable role of leadership. It was found that psychological safety is both a prerequisite for and […]
Classification of GIST and Other Benign Gastric Tumors for Minimally Invasive Surgery
The study aimed to propose a new surgical classification for non-malignant gastrointestinal mesenchymal tumors (GMTs) based on their location and guide minimally invasive surgical strategies. The classification divided the tumors into two groups (exophytic and transmural/intragastric) and further subdivided them based on location. The study included 42 patients distributed into each subgroup. Encouraging perioperative outcomes […]
An Operative Time Threshold for Safety in Robotic Pancreaticoduodenectomy
Robotic pancreaticoduodenectomy (RPD) is a safe and effective procedure, although it often takes longer than open pancreaticoduodenectomy (OPD). A study analyzed elective, low-risk RPD and OPD cases to determine the operative time threshold (OTT) for safety in RPD patients. The OTT was identified as 7.7 hours, and patients whose RPD exceeded this threshold had higher […]
Aqueous Povidone-Iodine Irrigation Does Not Reduce Surgical Site Infection Incidence Compared to Saline Irrigation
Researchers conducted a randomized controlled trial to compare the effectiveness of intraoperative wound irrigation with aqueous povidone-iodine (PVP-I) versus saline in reducing surgical site infections (SSI) in clean-contaminated wounds after gastroenterological surgery. The study included 941 patients and found that the incidence of incisional SSI was slightly higher in the group receiving PVP-I (7.6%) compared […]
Development of Multitask AI Model to Identify Surgical Skill Level from Open Surgical Videos
A study developed a multitask AI model capable of real-time understanding of surgical behaviors by analyzing a large collection of annotated open surgical videos. The model successfully identified kinematic descriptors of surgical skill related to the efficiency of hand motion. The compound skill feature derived from the model was found to be a significant discriminator […]
Understanding the Levels of Robotic Mesopancreas Dissection According to Malignancy and Vascular Anatomy
A recent study provides a comprehensive step-by-step overview of mesopancreas dissection during robotic pancreatoduodenectomy (PD) and its three levels based on tumor type. Surgeons interested in the robotic approach for PD should be familiar with these levels to ensure safe and successful dissections. The study aims to familiarize clinicians with tips and indications related to […]
Association Between RAS/BRAF Mutations and Lower Complete Response Rates in Rectal Cancer Patients
The study aimed to assess the impact of RAS/BRAF mutations on complete response rates after total neoadjuvant therapy (TNT) in advanced rectal cancer patients. Findings revealed that patients with mutant RAS/BRAF had significantly lower rates of achieving clinical and overall complete response compared to those with wild-type RAS/BRAF. However, there was no significant difference in […]